Provider Credentialing Executive

Job Posted: 17.02.2022 4:21:23

We are looking for someone to fill a permanent role in managing the credentialing for our clients.

Candidate is required to be fluent in English.

Knowledge and skills required:
Ability to enroll providers with healthcare insurance panels for in network status.
Ability to manage enrollments with clearinghouse for EDI and ERA transactions.
Manage EFT enrollments.
Update provider demographics with insurance. Add or modify providers within practice entities with each insurance panel.
Update and Attest CAQH, Availity, UHC and other credentialing management platforms.
Ability to navigate PECOS, NPPES.
Understanding of hospital privileges and re-appointment status for independent providers.
Handle re-credentialing requests in timely manner.
Understanding of healthcare RCM and how credentialing affects it.
Ability to manage and track short term and long term tasks and notify OHS and it’s clients of periodic progress.

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